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Medical Definition of Cauda equina. Cauda equina: A bundle of spinal nerve roots that arise from the end of the spinal cord. The cauda equina comprises the roots of all the spinal nerves below the first lumbar (L1) vertebra in the lower back. Last Editorial Review: 5/13/2016.
Cauda Equina Syndrome Video. 1  Loss of sensation or altered sensation in the saddle area (the area where a body is positioned on a saddle: inner thighs/between the legs, buttocks, back of legs, sacral region). 2  Difficulty walking without stumbling because of pain or numbness or weakness in one or both legs. Back pain that does not diminish with rest, and pain that may be worse at night-even waking the patient during sleep-than during the day. 2  Any of the above symptoms along with loss of appetite, unplanned weight loss, nausea, vomiting, or fever, chills or shakes.